Supervisor, Insurance Mgmt ROPS (Patient Assistance)

at  DaVita

Irvine, CA 92618, USA -

Start DateExpiry DateSalaryPosted OnExperienceSkillsTelecommuteSponsor Visa
Immediate23 Jan, 2025USD 91000 Annual23 Oct, 2024N/AGood communication skillsNoNo
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Description:

15271 Laguna Canyon RdSte 100, Irvine, California, 92618-3146, United States of America

This position has two primary responsibilities:

  • First is to ensure timely team processing of American Kidney Fund (AKF) premium assistance requests to ensure patients who are eligible, retain insurance coverage. In addition, assist PFE team with research and escalations as it relates to the P&P.
  • Second is to supervise 12-14 teammates responsible for patient assistance within their state footprint. The focus of the collective team is to process American Kidney Fund (AKF) and Patient Financial Evaluation (PFE) documents timely and accurately.

Position has supervisory responsibility for hiring, retention, performance development, performance management, teammate relations, salary adjustments, and termination of direct reports.

Responsibilities:

ESSENTIAL DUTIES AND RESPONSIBILITIES:

The following duties and responsibilities generally reflect the expectations of this position but are not intended to be all inclusive.

  • Provide day-to-day supervision to Patient Assistance team
  • Perform quality improvement audits of AKF submissions
  • Provide day-to-day supervision to PFE teammates
  • Research and address escalations
  • Review AKF and PFE reports to ensure timely insurance premium payments and PFE application review
  • Maintain and ensure confidentiality of all company and patient information in accordance with HIPAA regulations and DaVita policies
  • Provide training to social workers formally and ad hoc
  • Attend and/or lead team meetings, phone conferences, and training as needed
  • Act as a liaison between facility teammates and AKF to resolve patient insurance issues and/or concerns
  • Identify, resolve or escalate issues (processing) as appropriate for prompt and effective resolution
  • Travel requirements: 10%

Field Interaction

  • Establish and build relationships with clinical resources and Vendor partners to emphasize and integrate Patient Assistance priorities
  • Review weekly reports to identify potential patient insurance issues:
  • Assist in updating related Policy and Procedures
  • Create and provide training to clinical teammates as needed

Reporting

  • Provide monthly reporting and analysis on key metrics related to AKF and Drug Replacement to management
  • Compile quarterly operations reviews on assigned portfolio
  • Monitor and evaluate weekly and monthly key metrics to identify trends or areas of focus

Teammate Management

  • Provide leadership to direct reports and department
  • Partner with manager on all teammate employment activity such as hiring, promoting, job performance, evaluations, compensation, disciplinary actions, and termination effectively and professionally
  • Ensure accurate, timely processing of changes in the Workday system
  • Provide work direction for department teammates
  • Address teammate relations issues appropriately; escalate as necessary
  • Know, understand, implement, follow, and communicate to teammates all DaVita employment policies and procedures, awards, and other opportunities within company; develop and foster a positive, fulfilling work environment; enable teammates to excel in their assigned roles
  • Review and approve time cards of hourly direct reports for bi-weekly payroll
  • Track overtime, attendance, and PTO
  • Facilitate teammate development (PDRs, coaching, mentoring, DaVita training, outside training); collaborate with direct reports to create professional development goals
  • Provide work direction for department teammates including goals and goal achievement measurements:
  • Determine staffing plans that promote the most effective use of all teammates; ensure coverage during teammate absences
  • Develop and conduct educational programs to keep teammates up-to-date on DaVita policies, new laws and regulations impacting work, and other information necessary to maintain teammates’ knowledge of department processes and goals

Other duties and responsibilities as assigned

  • Attend team meetings, phone conferences, and training as needed
  • Know, understand, and follow teammate guidelines, employment policies, and department or company procedures
  • Participate as requested in special projects and team initiatives
  • Mentor team members as appropriate on Patient Assistance practices
  • Meet with new teammates after training to obtain feedback
  • velopment courses through DaVita’s online training platform StarLearning.

LI-RH1

At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as “a place where I belong.” Our goal is to embed Diversity & Belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and an affirmative action employer. As such, individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic.
Applications are accepted on an ongoing basis.

This position has two primary responsibilities:

  • First is to ensure timely team processing of American Kidney Fund (AKF) premium assistance requests to ensure patients who are eligible, retain insurance coverage. In addition, assist PFE team with research and escalations as it relates to the P&P.
  • Second is to supervise 12-14 teammates responsible for patient assistance within their state footprint. The focus of the collective team is to process American Kidney Fund (AKF) and Patient Financial Evaluation (PFE) documents timely and accurately


REQUIREMENT SUMMARY

Min:N/AMax:5.0 year(s)

Hospital/Health Care

Pharma / Biotech / Healthcare / Medical / R&D

Health Care

Graduate

Proficient

1

Irvine, CA 92618, USA